drjobs Claims Manager

Claims Manager

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1 Vacancy
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Job Location drjobs

Neenah, WI - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Summary

This is a leadership role within our Claims Team focused upon coaching training development and performance management of assigned claim team members. Ownership of file quality adjudication efficiency expense control and vendor management are key responsibilities. Collaboration with the Director of Claims on projects directives and key claim accountabilities will also be a major activity within this position.

Why Jewelers Mutual:

We are a financially secure exceptionally positioned and intellectually curious company driven by our core values of Agility Accountability and Relevancy! We continue to raise the tide of the jewelry industry weve served since 1913 through our innovative people our unyielding customer commitment and evolution of our products and services to be the most trusted advisor to all we serve.

With a generous benefits package office locations throughout the United States and a mantra of making your mark today consider evolving your career and shining bright with Jewelers Mutual Group!

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Lead and manage claim team personnel.
  • Ensure claim quality and service along with other key claim metrics are meeting or exceeding expectations.
  • Optimize processes and expense control measures.
  • Train coach and develop new and existing staff.
  • Report on key claim metrics trends and project status.
  • Maintain ongoing relationships with external and internal claim partners and stakeholders such as jewelers agents attorneys SIU and independent adjusters. Foster a strong relationship with PL Underwriting.
  • Investigates and reviews coverage in conjunction with legal precedence.
  • Examines claim reports or similar claims/precedents to determine extent of coverage and liability.
  • Coordinates claims personnel activity during litigation and assists counsel in claims settlement and defense.
  • Participates in conducting performance evaluations for subordinates including preparing and/or reviewing a development plan for each person which will enable each to reach maximum potential.
  • Represents the company as a leader both internally and externally for the company vision and mission statement and corporate culture objectives.

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Leadership Responsibilities

Carries out leadership responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Qualifications

  • Bachelors degree from four-year college or university.
  • 5 years of prior insurance claim experience.
  • Proficiency in Microsoft suite applications including Word Excel Outlook and PowerPoint.
  • Extensive knowledge of jewelry terminology jewelry repair processes and jewelry industry resources is desired.

Certificates Licenses Registrations

Completion of the AIC SCLA or CPCU program are desired. A valid adjuster license in all applicable states is required.

Required Experience:

Manager

Employment Type

Full-Time

Company Industry

About Company

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